Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Hdr I192 Tx Source
Low
$1
Average
$504
Median
$292
High
$2.5k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
33 hospitals; the 90th percentile is 116.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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36 hospital rates
iThe hospitals that file a Medicaid rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $363 | $363 | — | — | — | $363 – $363 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $294 | $294 | — | — | — | $294 – $294 |
| 3 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $173 | $173 | $8 | 5% | — | $165 – $181 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $357 | $357 | — | — | — | $357 – $357 |
| 5 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $202 | $202 | — | — | — | $202 – $202 |
| 6 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 7 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN fee schedule · both | 2 | $324 | $324 | $29 | 9% | — | $295 – $354 |
| 8 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN fee schedule · both | 14 | $295 | $309 | $26 | 8% | — | $295 – $354 |
| 9 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · both | 16 | $295 | $308 | $25 | 8% | — | $295 – $354 |
| 10 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN fee schedule · both | 2 | $324 | $324 | $29 | 9% | — | $295 – $354 |
| 11 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN fee schedule · both | 2 | $324 | $324 | $29 | 9% | — | $295 – $354 |
| 12 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $923 | $1.8k | $1.4k | 80% | — | $592 – $4.0k |
| 16 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 17 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 18 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 1 | $292 | $292 | — | — | — | $292 – $292 |
| 19 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 1 | $292 | $292 | — | — | — | $292 – $292 |
| 20 | Mercy Hospital South Louis, MO facility · fee schedule · outpatient | 1 | $292 | $292 | — | — | — | $292 – $292 |
| 21 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $148 | $148 | $32 | 22% | — | $115 – $180 |
| 22 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 1 | $292 | $292 | — | — | — | $292 – $292 |
| 23 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 1 | $292 | $292 | — | — | — | $292 – $292 |
| 24 | Montefiore Medical Center Bronx, NY fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
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